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,bIIUCo -aa <br />Description of work c�o1ntiinueed: <br />al '�"'t` <br />FOR OFFICE USE ONLY <br />BUILDING <br />ZONING <br />VALUATION <br />Lot Area <br />Bldgrr.l. Size <br />Front Setback <br />Garage Size <br />800 <br />Rear Setback <br />No. of Stories <br />Side Setback <br />Basement <br />Yes _ No V <br />Vacant Sae <br />Yes Nc _ <br />Type of Construcilcn <br />Height Limitation <br />Occupancy Group <br />Use Zone <br />Occupant Load <br />No. of Dwelling Units <br />Fire Sprinkler Req'd <br />Approved by Date <br />Reason <br />Comments: <br />Fire Alarm Req'd <br />Reason <br />—r <br />Approved by Date <br />Comments: 2 poq /AC - <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />_ <br />Water <br />Sewer <br />Sys. Development <br />Public Works <br />Traffic Mitigation <br />Other <br />a/4- <br />